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Bill Blackmon

NPI 1154610103 · on the registry since 2011 · sole proprietor

Practice

Address
3508 Andover Dr
Bedford, TX 76021
Phone
(817) 781-0188

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-03-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas